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題 名 | Tandem Spinal Stenosis: Clinical Diagnosis and Surgical Treatment=合併性頸椎及腰椎狹窄症候群:臨床診斷及外科療法 |
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作 者 | 謝建輝; 黃聰仁; 許文蔚; | 書刊名 | 長庚醫學 |
卷 期 | 21:4 1998.12[民87.12] |
頁 次 | 頁429-435 |
分類號 | 416.61 |
關鍵詞 | 合併性頸椎及腰椎狹窄症候群; 後縱韌帶鈣化; 椎板整型術; Tandem spinal stenosis; TSS; Ossification of posterior longitudinal ligament; OPLL; Laminoplasty; |
語 文 | 英文(English) |
中文摘要 | 背景:合併性頸椎及腰椎狹窄症候群的定義是合併有頸椎及腰椎狹窄。它的臨床表 現包括間歇性跛性,步態異常,以及合併上肢及下肢的症狀和癥候。 方法:從1994年4月到1995年9月期間,158位接受脊椎狹窄症候群手術治療的病人中有12位 診斷是合併性脊椎狹窄症候群,發生率是7.6 %。我們的手術治療原則是有上運動神經元癥 候或嚴重上肢症候者先行頸椎手術,而有嚴重下肢症狀且無上運動神經元癥候者則先行腰椎 手術。 結果:12位病患中計有8位病患先行頸椎手術,其中4位病患需再作腰椎手術。在8位先行頸 椎手術的病患中,2位作Hirabayashi椎板整型術,3位作椎板切除術,3位作前椎體切除及融 合術,其他4位則只作腰椎手術,平均追蹤時間為32個月,在最近一次檢查有8位(66.7%) 是優良或好的結果。 結論:我們的結果顯示合併性脊椎狹窄症候群經適當的診斷及治療,通常會有不錯的結果。 我們也發現12位病患中計有7位(58.3%)病患是後縱韌帶鈣化所造成。所以後縱韌帶鈣化 症也許是合併性脊椎狹窄症候群的一個致病因子,而這需更大數量的相關研究來證實這個 發現。 |
英文摘要 | Background: Tandem spinal stenosis(TSS) is defined as spinal stenosis that combines cervical and lumbar spinal stenosis. The primary manifestations include intermittent neurological claudication, progressive gait disturbance, and mixed symptoms and signs of the upper and lower extremities. Materials and Methods: From April 1994 through September 1995 in a series of 158 patients who underwent surgery for spinal stenotic syndrome, 12 patients were diagnosed with TSS, with an overall incidence of 7.6%. Our management guidelines required that cervical surgery be performed first if the patients had signs in the upper motor neuron region or predominant signs in the upper extremities. In the patients who had significant symptoms in the lower extremities and no signs in the upper motor neuron region, lumbar surgery was performed first. Results: In this series, 8 of 12 patients received cervical surgery first and 4 required further lumbar surgery. Among the 8 patients who received cervical surgery, 2 received Hirabayashi's laminoplasty, 3 laminectomy, and 3 anterior decompression and fusions. The other 4 patients received lumbar surgery only. The average follow-up period was 32 months(range, 24-40 months). At the latest examinations, 8 patients(66.7%) had excellent or good clinical results. Conclusion: Our results revealed that when correct diagnosis and management for patients with TSS was given, the patients usually had satisfactory outcomes. Ossification of the posterior longitudinal ligament(OPLL) was noted in 7 of 12 patients(58.3%) in this study. Thus, OPLL might be a predominant factor in TSS, and larger populations studies are needed to confirm this finding. |
本系統中英文摘要資訊取自各篇刊載內容。